Call: 419-562-0203

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Testimonials

My family has come here for many years. We enjoy the friendly, gentle and caring doctors and staff. Can't imagine receiving better care elsewhere. Don't forget to floss!!

M. Motter

Awesome, no pain! I have finally found a dentist that I'm comfortable going back to.

R. Allen

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